Organization
SAINT MICHAELS RESIDENTIAL & COMMUNITY SERVICES, INC. #2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES RICK SINGLETON (EXECUTIVE DIRECTOR)
(704) 537-3297
Entity
Organization
Contact information
Practice address
7921 CHESTNUT RIDGE DR, CHARLOTTE, NC 28215-5517
(704) 466-0046
(704) 535-1836
Mailing address
6630 FAIR LAWN RD, CHARLOTTE, NC 28215-3720
(704) 537-3297
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-060-1027
NC
Other
Enumeration date
08/30/2007
Last updated
08/30/2007
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